Privacy Authorization Forms (Requires Adobe Acrobat Reader )
Authorized Representative
Allows an insured to authorize someone to be their representative for receiving or accessing claim information and benefits
Authorization for Disclosure
Allows an insured to authorize Markel Insurance Company to disclose specified protected health information to another entity
Revocation of Authorization for Disclosure
Allows an insured to revoke a previous authorization for Markel Insurance Company to disclose specified protected health information to another entity